1991, 04-02 Permit: 91001534 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
mk13D3BROADWAY AVENUE
SPOKANE, WASHINGTON S9260
(509) 456-3675
1 certify that I have exam inedth is permit/application, state that the information contained in it and submitted by me or my agent to compile said permit/application is true
and o^,motand authorize Spokane County to proceed with processing. In addition,/ have u and understand the /wopsoTmw nEuu/nsmEwrmwonos
provisions included herein and agree to comply with same All provisions of laws and ordinances governing this type of work will be complied with whether specified
herein or not. I understand that the issuance ofthis permit/application and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or cancel the provisions ofany state or local law regulating construction, oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER=
9iOOi534
I%%UED
PERMIT DATF= O4/�2/9i
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CALL FOR IN%PECTION
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*********
24 HOGR`NOTICE
REQUIRED
**********
- *********
456-36O4
****a***** .
********************************
THANK YOU
*********************************
SPECIAL CONDITION CHECKLIST
Project .
Address: — — — -- — -- — Project# — Use: — - — —
Dept: Date: Condition: Init: Appr:
(in) (out)
Dept.of Bldgs.
--- — Special Insp.Final Report -
— — — Hydrant( ) — — ------ — —— -- ---------
----___-- ----- _---- — Lock Box- —__--_—_
Engineer's_._.-- — — RID/CRP ---—
Easements
• _ —. Road Plans/Improvements _________
Bonds— -- — —
Planning_ — — Bonds -- _
Utilities. — — — Double Plumbing.___—_—__.____
ULID
•
Other__ — — — — — — -- — —
•
•
' **`***"***""******`******THIS SPACE FOR COMMERCIAL PLANS TRACKING,CERTIFICATE OF OCCUPANCY ONLY******************************
Date received for C/O processing: —_ —_ . Plans pulled for final processing:
Temporary C/O issued:______.________ —__—. ___— .Certificate of Occupancy issued:
Office file review by: _______ Date:-------_-
Filed insp finaled by: _________ — Date:-_ _____________
Ninety days after C/O issuance:
Owner/contractor called regarding the return of plans: .-----_- _------ -------.___--- ---____-. Date:
Plans returned: ------_—.__--- Received by:
No response from owner/contractor-plans destroyed:._ --_---------____.--